Hemithyroidectomy ntawm Apollo Tsev Kho Mob, Lucknow

Vim li cas cov neeg mob xaiv Apollo Tsev Kho Mob Lucknow rau Hemithyroidectomy

• Ib feem ntawm pawg Apollo Hospitals uas tau tsim tsa xyoo 1983 Lub tsev kho mob thawj zaug hauv Is Nrias teb, tam sim no ua haujlwm ntawm ntau lub tsev kho mob thoob plaws lub tebchaws, nrog rau lub chaw Lucknow pabcuam Uttar Pradesh thiab cov xeev nyob ib puag ncig ua lub chaw saib xyuas ntau yam tshwj xeeb.
• Ib txoj kev phais mob thyroid thiab endocrine tshwj xeeb uas yog kev phais mob qog nqaij hlav, kev phais mob dav dav thiab endocrine, ENT thiab kev phais mob taub hau-caj dab, endocrinology, radiology, nuclear medicine thiab histopathology ua haujlwm ua ib pab pawg es tsis yog ua ib leeg xwb. Tus naj npawb tseeb ntawm cov kws pab tswv yim txuas nrog txoj kev thyroid hloov pauv nrog cov npe, yog li pawg neeg tam sim no thiab txhua tus kws phais mob tus kheej kev paub tuaj yeem lees paub ntawm qhov chaw txais tos lossis los ntawm kev teem sijhawm pabcuam.
• Kev kuaj mob muaj nyob rau hauv ib lub ru tsev Kev siv tshuab ultrasound ntawm caj dab uas muaj qhov daws teeb meem siab nrog rau kev siv elastography qhov twg qhia, kev siv koob txhaj tshuaj me me (FNAC) uas tau tshaj tawm siv Bethesda system, kev kuaj mob thyroid thiab antibody, thiab kev kuaj histopathology thiab immunohistochemistry rau ntawm qhov chaw rau lub lobe uas raug txiav tawm.
• Cov tshuaj ntxiv rau kev nyab xeeb thaum ua haujlwm siv raws li kev kho mob tsim nyog, suav nrog kev pom kev loj dua, cov khoom siv kaw lub qhov ncauj uas siv zog, thiab kev saib xyuas cov hlab ntsha laryngeal uas tus kws phais pom tias nws muaj txiaj ntsig. Kev muaj cov khoom siv tshwj xeeb rau hnub koj phais yuav raug lees paub thaum lub sijhawm sab laj ua ntej siv tshuaj loog.
• Kev ntsuam xyuas ua ntej siv tshuaj loog thiab kev pabcuam saib xyuas mob hnyav 24 teev hauv 7 hnub, uas tseem ceeb rau cov neeg mob uas muaj kab mob plawv, ntshav qab zib uas tsis tswj tau, pw tsaug zog tsis taus pa, lossis mob qog ntshav hauv lub plawv loj.
• Kev npaj saib xyuas cais rau cov neeg laus, cov neeg mob laus dua thiab cov menyuam yaus Cov qog nqaij hlav hauv cov menyuam yaus raug tswj hwm nrog kev txhawb nqa tshuaj loog rau menyuam yaus thiab cov tswv yim endocrinology rau menyuam yaus, thiab cov neeg mob laus dua tau txais kev tshuaj xyuas ua ntej phais.
• Kev saib xyuas lub suab thiab kev nqos uas muaj qauv, nrog rau cov ntaub ntawv ua ntej phais mob ntawm lub suab, ENT laryngoscopy yog tias qhia, thiab xa mus rau kev kho mob hais lus thiab nqos yog tias lub suab tseem hloov pauv tom qab phais mob.
• Muaj lub rooj sib tham txog kev pov hwm thiab TPA nyob rau ntawm qhov chaw rau kev tso cai ua ntej tsis siv nyiaj ntsuab, thiab kev txhawb nqa rau cov neeg mob uas taug kev los ntawm sab nraud Lucknow.
• Kev ua raws li qhov tsis xaus rau thaum tawm hauv tsev kho mob Kev ua haujlwm ntawm cov thyroid raug kuaj xyuas dua tom qab phais vim tias feem ntau ntawm cov neeg mob xav tau thyroxine txawm tias tom qab tshem tawm ib lub lobe xwb, thiab cov neeg mob qog noj ntshav raug sau npe rau hauv daim ntawv teem sijhawm saib xyuas ntev.

Tsis muaj tsev kho mob twg cog lus tias yuav muaj txiaj ntsig zoo rau kev phais mob. Qhov uas ib chav kho mob uas muaj neeg coob thiab muaj ntau yam kev kawm sib txawv tuaj yeem muab tau yog kev qhia kom raug, kev siv cov txheej txheem uas ua raws li tus qauv, thiab kev qhia ncaj ncees txog kev pheej hmoo.

Txheej txheem cej luam

Kev phais mob Hemithyroidectomy yog ib txoj kev phais uas yuav tsum tshem tawm ib lub qog ntawm cov qog thyroid. Kev phais no feem ntau yog qhov tsim nyog rau cov neeg mob uas kuaj pom tias muaj cov qog thyroid, goitre, lossis mob qog thyroid. Ntawm Apollo Tsev Kho Mob Lucknow, peb txaus siab rau peb lub koob npe nrov rau kev ua tau zoo hauv kev kho mob, siv cov thev naus laus zis siab heev thiab cov txheej txheem tshiab los ua haujlwm rau qhov zoo tshaj plaws rau peb cov neeg mob. Peb pab neeg ntawm cov kws phais neeg txawj ntse thiab cov kws kho mob tau mob siab rau kev muab kev saib xyuas tus kheej, ua rau peb yog ib qho ntawm cov chaw ntseeg siab rau kev phais mob hemithyroidectomy hauv cheeb tsam. Nrog rau kev tsom mus rau kev ntseeg siab thiab kev txaus siab ntawm tus neeg mob, peb caw koj los tshawb nrhiav seb peb cov kev txawj ntse tuaj yeem pab koj ua haujlwm rau kev noj qab haus huv zoo dua li cas.

Hauv cov lus phais, qhov kev phais no kuj hu ua thyroid lobectomy, thiab thaum lub pyramidal lobe thiab lub isthmus raug coj mus nrog lub lobe nws raug piav qhia tias yog lobectomy nrog isthmusectomy. Lub thyroid muaj ob lub lobes sib txuas los ntawm tus choj ntawm cov ntaub so ntswg; tshem tawm tsuas yog sab mob xwb ces sab noj qab nyob zoo, uas yog qhov zoo tshaj plaws ntawm qhov kev phais no dua li tag nrho cov thyroidectomy.

Vim li cas Hemithyroidectomy thiaj li tsim nyog

Hemithyroidectomy feem ntau pom zoo rau ntau yam mob uas cuam tshuam rau cov thyroid caj pas. Feem ntau yog vim li cas rau txoj kev no muaj xws li:

• Cov thyroid nodules: Cov no yog cov qog hauv lub thyroid uas tej zaum yuav yog cov qog zoo lossis cov qog phem. Yog tias xav tias ib qho qog yog qog nqaij hlav lossis ua rau muaj cov tsos mob xws li nyuaj nqos lossis ua pa, tej zaum yuav tsim nyog phais mob qog ntshav.
• Kab mob Goitre: Yog tias cov qog thyroid loj tuaj yeem ua rau tsis xis nyob thiab muaj teeb meem. Kev tshem tawm ib lub lobe tuaj yeem txo cov tsos mob rau cov neeg mob uas qhov loj tsuas yog nyob rau ib sab xwb.
• Thyroid Cancer: Hauv cov rooj plaub ntawm tus mob qog noj ntshav thyroid sib txawv, hemithyroidectomy yuav raug ua kom tshem tawm cov lobe uas raug mob thaum khaws lwm lobe rau kev tsim cov tshuaj hormones ib txwm muaj.

Cov txiaj ntsig ntawm kev phais mob hemithyroidectomy suav nrog kev pab txo cov tsos mob, kev kuaj mob kom raug los ntawm kev kuaj mob, thiab lub peev xwm kho tau tag nrho hauv cov xwm txheej ntawm theem pib, tsis muaj kev pheej hmoo ntawm mob qog noj ntshav thyroid. Ntawm Apollo Tsev Kho Mob Lucknow, peb txoj hauv kev ntau yam ua kom ntseeg tau tias txhua tus neeg mob tau txais txoj kev npaj kho mob uas haum rau lawv cov kev xav tau tshwj xeeb.

Lwm yam cim qhia uas pom tau tias muaj xws li ib lub qog uas tsis paub meej tias yog dab tsi (Bethesda III lossis IV) uas feem ntau yuav tsum tau phais mob qog dua li kev kuaj mob siv koob ntau zaus, ib lub qog uas muaj tshuaj lom (kub) ua rau mob hyperthyroidism, ib lub qog loj loj, thiab ib lub qog ib sab uas ua rau mob lossis muaj tsos mob. Ib lub qog uas pheej loj zuj zus thaum kuaj ultrasound, lossis ib lub uas muaj cov yam ntxwv txawv txawv xws li microcalcification, cov npoo tsis sib xws lossis cov qog extrathyroidal extension, feem ntau kuj raug coj mus phais.

Cov Lus Qhia Txog Kev Kho Mob Tam Sim No Tom Qab Kev Txiav Txim Siab

Kev txiav txim siab hauv kev xyaum ua neeg Isdias yog siv cov lus qhia ntawm American Thyroid Association (ATA) Management Guidelines rau Cov Neeg Mob Laus uas muaj Thyroid Nodules thiab Differentiated Thyroid Cancer, 2015 tsab , ATA Guidelines rau Cov Menyuam uas muaj Thyroid Nodules thiab Differentiated Thyroid Cancer, 2015 , Indian Thyroid Society thiab Endocrine Society of India cov lus pom zoo txog kev ntsuam xyuas nodule thiab hypothyroidism, Indian Association of Endocrine Surgeons cov lus pom zoo txog kev phais thyroid, thiab Indian Council of Medical Research (ICMR) Consensus Document for Management of Thyroid Cancer, 2017.

Qhov kev hloov pauv tseem ceeb tshaj plaws nyob rau xyoo tas los no yog kev hloov pauv meej meej ntawm kev phais mob thyroid tag nrho rau cov mob qog me me:

• rau mob qog nqaij hlav thyroid papillary uas loj li 1 cm lossis tsawg dua tsuas yog nyob rau hauv lub thyroid, tsis muaj kev koom tes ntawm cov qog ntshav thiab tsis muaj kev tua hluav taws xob ua ntej ntawm lub caj dab, kev phais lobectomy ib leeg xwb suav tias yog kev phais thawj zaug txaus.
• rau cov qog nqaij hlav ntawm 1 cm thiab 4 cm Yog tsis muaj qhov ntev ntawm cov thyroid thiab tsis muaj cov qog uas cuam tshuam nrog kev kho mob, kev phais lobectomy tam sim no raug lees txais tias yog lwm txoj hauv kev zoo rau kev phais thyroid tag nrho. Cov lus qhia ua ntej tau pom zoo kom phais thyroid tag nrho rau feem ntau cov qog nqaij hlav siab dua 1 cm.
• Kev phais tshem tawm tag nrho cov thyroid tseem yog qhov zoo dua rau cov qog nqaij hlav loj dua 4 cm, kev nthuav dav ntawm cov thyroidal loj heev, qhov pom tseeb ntawm cov qog nqaij hlav lossis cov metastasis deb, kab mob ob sab, keeb kwm ntawm kev siv tshuaj radioactive rau lub caj dab, lossis qhov twg yuav tsum tau ua kom tawg ntawm cov tshuaj radioiodine.
• Kev sim tshuaj molecular ntawm cov cytology tsis paub meej tuaj yeem txo cov naj npawb ntawm kev kuaj mob xwb, tab sis kev muaj thiab tus nqi hauv Is Nrias teb tseem tsawg thiab nws tseem tsis tau ua ib txwm muaj.
• Kev soj ntsuam kom nquag es tsis yog phais tam sim ntawd yog ib qho kev xaiv rau cov qog nqaij hlav papillary microcarcinomas uas muaj kev pheej hmoo tsawg heev hauv cov chaw uas muaj peev xwm muab kev saib xyuas raws li kev qhuab ntuas.

Cov lus qhia piav qhia txog cov pej xeem, tsis yog cov tib neeg. Koj tus kws phais yuav qhia lwm yam thaum koj siv koj tus qauv ultrasound, cytology, qhov chaw ntawm lub qog, lub suab, keeb kwm tsev neeg thiab koj tus kheej nyiam.

Kev pheej hmoo ntawm kev ncua

Kev ncua sijhawm phais mob hemithyroidectomy tuaj yeem ua rau muaj ntau yam teeb meem, tshwj xeeb tshaj yog tias qhov mob tseem ceeb yog qhov hnyav. Piv txwv li, mob qog noj ntshav thyroid uas tsis tau kho tuaj yeem loj hlob mus, ua rau kev kho mob nyuaj dua thiab tsis zoo. Tsis tas li ntawd, cov goitres loj tuaj yeem nias cov qauv ib puag ncig, ua rau muaj teeb meem ua pa lossis teeb meem nqos.

Kev kho mob raws sijhawm yog qhov tseem ceeb heev rau kev tiv thaiv cov teeb meem no. Ntawm Apollo Tsev Kho Mob Lucknow, peb hais txog qhov tseem ceeb ntawm kev kuaj mob thiab kev kho mob thaum ntxov. Peb pab neeg tau cog lus tias yuav muab kev sab laj sai thiab kev phais mob kom ua haujlwm tau zoo tshaj plaws rau peb cov neeg mob.

Cov txiaj ntsig ntawm kev ncua sijhawm ntev suav nrog lub qog loj hlob dhau lub qhov rais uas kev phais ib lub qog txaus, kev hloov pauv ntawm kev phais lub qog mus rau kev phais tag nrho nrog kev tshem tawm cov qog ntshav, kev nthuav dav ntawm lub qog uas ntxiv kev txiav caj dab, thiab - tsis tshua muaj - qhov xav tau radioiodine uas yuav tsis tas yuav tsum muaj. Hauv cov qog nqaij hlav me me, kev ncua sijhawm hloov pauv qhov ua tau. Ib yam li ntawd, tsis yog txhua lub qog xav tau kev phais mob sai: ntau yam raug saib xyuas kom zoo. Lub ntsiab lus ntawm kev sab laj thaum ntxov yog kom paub seb koj nyob hauv qhov xwm txheej twg.

Cov txiaj ntsig ntawm Hemithyroidectomy

• Symptom Relief: Cov neeg mob feem ntau tau txais kev pab ntau los ntawm cov tsos mob xws li mob caj dab, nyuaj nqos, thiab hloov lub suab tom qab phais.
• Kev kuaj mob kom raug: Cov txheej txheem tso cai rau kev tshem tawm cov qog uas muaj kev txawv txav, uas tom qab ntawd tuaj yeem xa mus rau kev kuaj mob kom paub seb puas muaj mob qog noj ntshav.
• Kev Tiv Thaiv Kev Ua Haujlwm ntawm Thyroid: Vim tias tsuas yog ib lub lobe raug tshem tawm, lub lobe seem feem ntau tuaj yeem tsim cov tshuaj hormones thyroid txaus, txo qhov kev pheej hmoo ntawm kev mob hypothyroidism mus tas li.
• Txhim Kho Lub Neej Zoo: Muaj ntau tus neeg mob qhia tias lawv lub neej zoo dua tom qab phais, vim lawv tsis raug kev txom nyem los ntawm cov tsos mob uas cuam tshuam nrog lawv cov mob thyroid lawm.

Cov txiaj ntsig ntxiv dua li kev phais thyroid tag nrho yog qhov muaj feem tsawg dua ntawm kev tsis muaj calcium tas mus li, vim tias cov qog parathyroid ntawm sab uas tsis tau raug cuam tshuam tsis raug cuam tshuam, thiab muaj feem tsuas yog ib qho hlab ntsha laryngeal rov tshwm sim dua es tsis yog ob. Cov ntawv tshaj tawm qhia tias kwv yees li ib ntawm tsib mus rau ib ntawm peb tus neeg mob tseem xav tau thyroxine tom qab phais lobectomy, feem ntau yog tias TSH ua ntej phais twb nyob rau qhov kawg siab tshaj plaws ntawm qhov ib txwm muaj lossis cov tshuaj tiv thaiv thyroid zoo, yog li lub neej tsis muaj tshuaj hormones yuav zoo li tab sis tsis lav.

Ntawm Apollo Tsev Kho Mob Lucknow, peb txoj kev cog lus rau kev saib xyuas zoo txhais tau tias koj tau txais tus qauv kev ntsuam xyuas, kev phais thiab kev saib xyuas tas li thoob plaws koj txoj kev kho mob.

Kev npaj thiab rov qab

Npaj Cov Lus Qhia

• Kev sab laj: Teem sijhawm sib tham nrog peb cov kws kho mob endocrinologist thiab kws phais kom tham txog koj tus mob, cov txheej txheem, thiab txhua yam kev txhawj xeeb uas koj muaj.
• Preoperative Testing: Tej zaum koj yuav xav tau kev kuaj ntshav, kev tshawb nrhiav duab, lossis lwm yam kev ntsuam xyuas los ntsuas koj txoj haujlwm thyroid thiab kev noj qab haus huv tag nrho.
• Tshuaj: Qhia rau koj tus kws kho mob txog tej tshuaj uas koj noj. Tej zaum koj yuav tsum tsis txhob noj tej tshuaj uas ua rau cov ntshav nyias ua ntej phais.
• Kev Kho Kev Noj Qab Haus Huv: Ua raws li cov lus qhia txog kev noj zaub mov uas koj pab neeg saib xyuas kev noj qab haus huv muab, tshwj xeeb tshaj yog txog kev yoo mov ua ntej phais.

Cov lus qhia rov qab

• Kev kho mob tom qab phais: Tom qab phais tas, koj yuav raug saib xyuas hauv chav kho mob rov zoo. Ua raws li koj tus kws phais cov lus qhia txog kev tswj qhov mob thiab kev saib xyuas qhov txhab.
• So thiab Kev Ua Si: Cia koj tus kheej muaj sijhawm so thiab kho. Maj mam ua kom koj cov dej num ntau ntxiv raws li koj pab neeg saib xyuas kev noj qab haus huv qhia.
• Kev teem caij tom qab: Tuaj koom txhua qhov kev teem sijhawm rov qab los saib xyuas koj qhov kev rov zoo thiab kev ua haujlwm ntawm cov thyroid.
• Kev noj haus thiab khoom noj khoom haus: Noj zaub mov kom zoo kom koj lub cev rov qab zoo. Haus dej kom txaus thiab xav txog kev noj cov zaub mov uas muaj cov vitamins thiab minerals ntau.

Ntawm Apollo Tsev Kho Mob Lucknow, peb muab kev txhawb nqa dav dav thoob plaws koj txoj kev npaj thiab kev rov zoo, kom koj xis nyob thiab paub txog txhua kauj ruam.

Lub Sijhawm Phais Mob thiab Theem Ua Ntej Kev Kho Mob

Yuav luag txhua zaus kev phais mob qog ntshav hauv lub cev (hemithyroidectomy) yog ib qho kev phais uas tau npaj tseg. Cov txheej txheem ib txwm muaj yog kev sab laj thiab kev kuaj mob hauv tsev kho mob, kev siv ultrasound ntawm lub caj dab, kev kuaj mob thyroid, kev siv ultrasound-guided FNAC yog tias lub qog no muaj qhov loj thiab qhov txaus ntshai, kev saib ENT ntawm cov hlab suab uas muaj kev hloov pauv ntawm lub suab lossis muaj cov qog loj, thiab tom qab ntawd kev txiav txim siab ua ke txog kev phais. Yog tias cytology pom tseeb tias tsis muaj teeb meem thiab lub qog no me me thiab tsis muaj tsos mob, kev soj ntsuam nrog kev rov ua dua scan feem ntau yog qhov kev xaiv zoo dua.

Ib lub qog ua rau lub thyroid ua haujlwm ntau dhau feem ntau yuav tswj tau nrog tshuaj ua ntej siv tshuaj loog, uas tuaj yeem ntev dua ob peb lub lis piam. Mob ntshav qab zib uas tsis tswj tau, kab mob hauv siab thiab ntshav tsis txaus uas tsis tau kho kuj yog cov laj thawj uas yuav tsum ncua sijhawm es tsis txhob mus ntxiv.

Cov Kev Xaiv Txog Kev Siv Tshuab Thiab Kev Kho Mob Piv Txwv

Kev nkag mus rau qhov chaw deb thiab kev kho mob tsis muaj caws pliav (transoral lossis axillary) tau ua nyob rau hauv ob peb lub chaw kho mob hauv Is Nrias teb rau cov neeg mob uas tau xaiv ntau heev. Seb puas muaj ib txoj hauv kev zoo li no hauv koj daim ntawv teev npe ua haujlwm yuav tsum nug ncaj qha rau ntawm OPD es tsis txhob xav tias yuav ua li cas.

Cov Txheej Txheem Qee Zaum Ua Tib Lub Sijhawm

• Kev phais tshem cov hlab ntsha hauv lub ntsws kev tshem tawm ntawm tus choj nruab nrab thiab lub pyramidal lobe nrog cov qauv.
• Kev kuaj xyuas qhov seem khov kev kuaj mob sai sai thaum phais, siv rau qee qhov xwb; nws tsis tuaj yeem kuaj tau cov qog hauv cov qog.
• Kev kuaj cov qog ntshav hauv nruab nrab ntawm lub cev yog tias pom muaj cov qog uas txawv txawv thaum lub sijhawm phais.
• Kev saib xyuas cov hlab ntsha laryngeal rov tshwm sim ib qho kev pab cuam ntxiv, tsis yog ib qho kev hloov pauv rau kev txiav txim siab zoo.
• Kev tshawb nrhiav txog cov qog parathyroid qee zaum yuav tsum tau ua yog tias paub lossis pom muaj cov qog parathyroid adenoma uas muaj nyob ua ke.
• Kev Hloov Mus Rau Kev Tshem Tawm Tag Nrho Cov Thyroid yog tias cov ntaub ntawv pom tseeb thaum lub sijhawm phais mob qhia meej tias muaj kab mob ntau dua. Qhov ua tau no tau tham thiab pom zoo ua ntej.
• Kev tso dej ntws siv raws li tus kws phais pom zoo rau cov qog loj dua; feem ntau raug tshem tawm hauv ib lossis ob hnub.

Kev Rov Qab Zoo Ib Theem Ib Theem

Cov no yog cov qib ib txwm muaj. Cov neeg mob laus dua, cov neeg uas muaj ntshav qab zib, thiab cov neeg uas muaj cov qog loj heev lossis o tuaj yeem siv sijhawm ntev dua.

Cov Qauv Rau Kev Rov Qab Mus Ua Haujlwm Li Qub, Ua Haujlwm thiab Ua Si Ntaus Pob

• Kev taug kev thiab kev saib xyuas tus kheej: los ntawm ib hnub.
• Ua haujlwm ntawm lub rooj lossis lub khoos phis tawj: feem ntau yog ib mus rau ob lub lis piam; ua ntej ntawm tsev yog tias qhov mob tswj tau.
• Tsav Tsheb: tsuas yog thaum koj tig tau koj lub taub hau mus rau ob sab yam tsis muaj kev yig thiab tsis noj tshuaj loog mob.
• Kev caij tsheb kauj vab ob lub log: zam kom txog thaum qhov txhab zoo tag nrho, feem ntau yog li peb lub lis piam; cov hlua khi lub kaus mom hlau thiab kev co ntawm txoj kev yuav tsis xis nyob ua ntej ntawd.
• Ua haujlwm tes, ua haujlwm ua liaj ua teb, nqa khoom ntawm lub taub hau lossis xub pwg: feem ntau plaub txog rau lub lis piam, thiab tsuas yog phais kom tshem tawm xwb.
• Lub chaw qoj ib ce, khiav, yoga: ua cov cardio me me thaum peb txog plaub lub lis piam; tsis txhob ua cov qoj ib ce ntev caj dab xws li sarvangasana, halasana thiab kev nias lub cev hnyav kom txog thaum koj ua tiav, feem ntau yog rau lub lis piam.
• Kev sib cuag thiab kev sib ntaus sib tua, ua luam dej: tom qab qhov txhab loj hlob thiab zoo lawm, feem ntau yog rau txog yim lub lis piam.
• Cov neeg hu nkauj, cov xib fwb, cov pov thawj, cov neeg ua haujlwm hauv chaw hu xov tooj thiab lwm cov neeg siv lub suab hnyav: teeb tsa qhov kev xa rov qab uas muaj qib, thiab thov kom muaj kev ntsuam xyuas lub suab ua ntej rov pib siv tag nrho cov kev tshaj lij.

Cov ntsiab lus tseem ceeb rau Is Nrias teb

• Chav dej zaum thiab chav dej Indian: kev phais caj dab tsis txwv lub duav lossis lub hauv caug, yog li kev zaum squatting feem ntau zoo txij li thawj hnub - tab sis siv kev txhawb nqa kom koj tsis txhob mob caj dab thaum sawv.
• Zaum hla ceg feem ntau zaum hauv pem teb noj mov lossis thov Vajtswv ces xis nyob; ua kom lub caj dab ncaj ncees es tsis txhob khoov mus tom ntej.
• Pw hauv pem teb: txaus siab, tab sis ntxiv ib daim phuam tais los yog ib lub hauv ncoo nyias nyias kom lub caj dab tsis ntev, thiab tsis txhob pw ntsej muag rau ob lub lis piam thawj zaug.
• Kev da dej thoob dej: ua kom daim ntaub qhwv qhuav rau lub sijhawm uas tau qhia; da dej tes lossis da dej phuam hauv qab caj dab yog qhov yooj yim tshaj plaws rau ob peb hnub thawj zaug.
• Zaws roj taub hau, xov xov, txiav plaub hau rau ntawm qhov caws pliav, thiab siv turmeric los yog tshuaj hauv tsev rau ntawm qhov txhab yuav tsum tos kom txog thaum tus kws phais paub tseeb tias qhov txhab tau zoo lawm.
• Kev saib xyuas tsev neeg ua ke: Yuav tsum muaj ib tug neeg laus uas yog tus neeg saib xyuas tseem ceeb uas hnov ​​cov lus qhia txog kev tso tawm, khaws cov ntaub ntawv qhia, thiab paub cov cim ceeb toom. Qhov no zam qhov teeb meem uas cov lus qhia raug txo kom tsawg rau ntau tus txheeb ze uas muaj lub siab zoo.

Tiv Thaiv Kev Rov Qab Los Thiab Kev Soj Ntsuam Mus Ntev

Vim tias tseem tshuav ib sab ntawm lub qog, nws tseem tuaj yeem tsim cov qog tshiab tom qab, thiab cov nqaij thyroid seem ntawm sab uas tau phais yuav qee zaum rov loj hlob dua. Kev rov tshwm sim dua tsis tuaj yeem tiv thaiv tau tag nrho, tab sis nws tuaj yeem kuaj pom thaum ntxov.

• Ua raws li lub sijhawm teem sijhawm ultrasound thiab TSH uas koj pab neeg muab rau koj; rau cov kab mob benign qhov no feem ntau yog txhua xyoo, rau mob qog noj ntshav ntau dua thaum xub thawj.
• Kev soj ntsuam mob qog noj ntshav tom qab phais lub qog ntshav qab zib siv ultrasound thiab TSH; thyroglobulin tsis tshua nkag siab zoo li tom qab phais tag nrho vim tias cov ntaub so ntswg thyroid zoo li qub tseem nyob.
• Tej zaum yuav muab tshuaj thyroxine rau kom TSH nyob rau hauv qhov ntau uas tau teev tseg; tsis txhob tsum lossis hloov cov koob tshuaj yam tsis tau kev qhia, thiab noj nws thaum lub plab khoob uas tsis txhob noj calcium, hlau thiab antacids.
• Siv ntsev iodized. Is Nrias teb lub National Iodine Deficiency Disorders Control Program tseem pom zoo kom txhua tsev neeg noj ntsev iodine; kev noj iodine txaus yuav txo tau qhov mob goitre. Tsis txhob noj cov tshuaj iodine lossis kelp uas tsis tau sau ntawv kom noj ntau.
• Tsum haus luam yeeb txhua hom thiab txwv tsis pub haus cawv; ob qho tib si qeeb qeeb qhov txhab kho thiab ua rau muaj kev pheej hmoo ntawm kev phais mob dav dav.
• Qhia rau koj tus kws kho mob txog keeb kwm tsev neeg ntawm mob qog noj ntshav thyroid, MEN syndromes, lossis kev raug hluav taws xob thaum yau rau lub taub hau thiab caj dab.
• Tshaj tawm txog tej pob tshiab hauv caj dab, lub suab qw tsis tu ncua, lossis nyuaj nqos ntawm cov sijhawm teem tseg es tsis txhob tos lub sijhawm mus ntsib kws kho mob.

Menyuam yaus, Cov neeg laus dua, cev xeeb tub thiab lwm yam xwm txheej tshwj xeeb

Cov menyuam yaus thiab tub ntxhais hluas

Cov qog thyroid tsis tshua muaj nyob rau hauv cov menyuam yaus tab sis muaj feem ntau dua ntawm kev ua mob qog nqaij hlav, yog li kev qhia txog menyuam yaus nyiam kev ntsuam xyuas sai sai thiab qhov tsawg kawg nkaus rau kev phais hauv chaw kho mob uas muaj kev paub dhau los. Kev siv tshuaj loog rau menyuam yaus, kev kho mob endocrinology rau menyuam yaus thiab kev saib xyuas kev loj hlob thiab kev laus yog ib feem ntawm txoj kev npaj, thiab kev tsis tuaj kawm ntawv li ob lub lis piam yog qhov ib txwm muaj.

Cov laus

Kev mob nkeeg ua ke, tsis yog hnub nyoog xwb, txiav txim siab txog kev noj qab haus huv. Lub plawv dhia, kev ua haujlwm ntawm lub raum, kev tswj qab zib, ntshav tsis txaus thiab kev tshuaj xyuas tshuaj tseem ceeb dua li tus lej ntawm daim ntawv pov thawj yug. Cov neeg mob laus kuj yuav xav tau thyroxine tom qab phais lub qog thiab feem ntau yuav muaj kev tsis meej pem tom qab siv tshuaj loog, cem quav thiab tshem tawm cov tsos mob, yog li kev txav mus los thaum ntxov thiab tus neeg saib xyuas paub zoo pab tau zoo heev.

Cev xeeb tub thiab npaj cev xeeb tub

Feem ntau pom cov qog nqaij hlav zoo uas pom thaum cev xeeb tub, thiab yuav tsum tau phais kom txog thaum yug menyuam tas. Thaum xav tau phais tiag tiag thaum cev xeeb tub, lub sijhawm peb lub hlis thib ob yog lub sijhawm muaj kev nyab xeeb tshaj plaws. Cov tshuaj radioiodine tsis raug siv rau thaum cev xeeb tub thiab pub niam mis. Yog tias koj tab tom npaj cev xeeb tub tom qab phais lub qog, thov kom kuaj TSH ua ntej, vim tias qhov xav tau cov tshuaj hormones thyroid nce siab thaum cev xeeb tub.

Lwm yam xwm txheej

• Retrosternal goitre txuas ntxiv mus rau hauv lub hauv siab xav tau kev thaij duab hla thiab, tsis tshua muaj, kev txhawb nqa phais mob hauv siab.
• Hashimoto tus thyroiditis ua rau kev phais mob nyuaj dua thiab ua rau muaj feem yuav xav tau thyroxine tom qab.
• Kev phais caj dab ua ntej lossis kev kho hluav taws xob ua rau muaj kev pheej hmoo ntawm kev raug mob ntawm cov hlab ntsha thiab cov parathyroid; qhov no yuav tsum tau qhia meej meej thaum sab laj.
• Cov neeg mob uas noj tshuaj steroids ntev, tshuaj immunosuppressants lossis dialysis xav tau kev npaj tus kheej.

Yog Koj Xaiv Tsis Ua Qhov Kev Kho Mob

Kev tsis kam phais lossis ncua kev phais yog qhov kev xaiv raug cai rau ntau tus neeg mob, thiab cov txiaj ntsig nyob ntawm qhov kev kuaj mob.

• Lub qog zoo, tsis muaj tsos mob: kev soj ntsuam nrog lub tshuab ultrasound tsis tu ncua yog qhov tsim nyog thiab feem ntau nyiam dua. Tsis muaj dab tsi poob los ntawm kev tos.
• Kev kuaj mob cytology tsis paub meej: koj tseem tsis tau kuaj mob tseeb. Qee cov qog nodules zoo li no tig mus ua mob qog noj ntshav, thiab kev kuaj koob ntau zaus tsis tas li daws qhov teeb meem.
• Cov mob qog nqaij hlav papillary uas tsis tshua muaj kev pheej hmoo: Kev saib xyuas uas muaj kev teeb tsa zoo yog ua tau rau cov neeg mob xaiv, tab sis nws xav tau kev saib xyuas uas txhim khu kev qha thiab muaj kev qhuab ntuas. Kev tsis quav ntsej tsis muaj kev teeb tsa zoo tsis zoo ib yam thiab muaj kev pheej hmoo rau qhov mob qog loj hlob lossis kis mus rau cov qog.
• Mob qog nqaij hlav loj los yog mob qog nqaij hlav nias: cov tsos mob ntawm kev ntxhov siab ? Ua tsis taus pa thaum pw tiaj tiaj, nyuaj nqos, suab nrov ? feem ntau yuav nyob ntev lossis maj mam zuj zus tuaj.
• Toxic nodule: Kev mob hyperthyroidism uas tsis tau kho tuaj yeem ua rau atrial fibrillation, pob txha poob thiab poob phaus, yog li ntawd yuav tsum xaiv lwm txoj kev kho mob xws li radioiodine lossis tshuaj kho mob mus sij hawm ntev es tsis txhob tsis muaj dab tsi.

Yog koj txiav txim siab tsis phais, thov kom muaj ib daim ntawv npaj saib xyuas uas muaj hnub tim meej thiab cov laj thawj meej uas yuav hloov cov lus qhia. Kev xav thib ob yeej ib txwm txais tau thiab feem ntau yuav pab tau.

Cov Yam Uas Hloov Tus Nqi

Apollo Tsev Kho Mob Lucknow tsis tshaj tawm ib daim nqi rau kev phais mob hemithyroidectomy, vim tias daim nqi kawg nyob ntawm cov hloov pauv hauv qab no. Yog xav tau kev kwv yees sau tshwj xeeb rau koj rooj plaub, hu rau lub txee them nqi hauv tsev kho mob lossis lub rooj pov hwm. Cov nqi hais nyob rau hauv cov vev xaib sib sau ua ke sab nraud tsis ntseeg tau.

Kev Pov Hwm thiab Kev Kho Mob Tsis Siv Nyiaj Ntsuab hauv Is Nrias teb

• Kev phais mob hemithyroidectomy rau tus mob thyroid uas kuaj pom tias muaj yog ib qho kev phais mob hauv tsev kho mob uas tau npaj tseg thiab feem ntau yog them los ntawm cov cai pov hwm kev noj qab haus huv tus qauv, raws li koj cov lus hais hauv daim ntawv pov hwm.
• Kev tso cai ua ntej tsis siv nyiaj ntsuab yuav tsum pib ua ntej nkag mus rau hauv tsev kho mob. Muab koj tus lej pov hwm, daim npav TPA, daim npav ID muaj duab thiab txhua daim ntawv kuaj mob rau lub chaw pov hwm hauv tsev kho mob kom qhov kev thov no mus txog tus neeg pov hwm nrog cov laj thawj kho mob txaus.
• Lub sijhawm tos tseem ceeb. Feem ntau cov cai them nqi kho mob muaj lub sijhawm tos thawj zaug li ntawm 30 hnub txij li thaum pib, uas tsuas yog cov kev thov nyiaj tsis tau xav txog xwb, thiab lub sijhawm tos ntev dua - feem ntau yog ob txog plaub xyoos - rau cov mob tshwj xeeb lossis cov mob uas twb muaj lawm. Ib qho mob qog thyroid uas paub ua ntej koj yuav daim ntawv pov hwm yuav raug suav tias yog cov kab mob uas twb muaj lawm. Tshawb xyuas koj daim ntawv teev sijhawm pov hwm.
• Kev sib tsoo piv rau kev them nqi uas tau npaj tseg: Kev phais mob thyroid yog qhov xaiv tau, yog li ntawd, cov ntawv pov hwm kev raug mob lossis kev raug mob ntawm tus kheej tsis them rau qhov ntawd. Ib yam li ntawd, ntau cov khoom kho mob sab nraud xwb lossis cov khoom kho mob hnyav yuav tsis them rau qhov kev nkag mus no.
• Kev txwv tus nqi xauj chav thiab kev txiav tawm raws li qhov sib piv: Kev xaiv ib pawg chav tsev uas siab dua li koj txoj cai txwv yuav ua rau koj raug txiav nyiaj ntau dua, tsis yog tsuas yog tus nqi chav xwb. Xyuas kom meej tias koj pawg tsim nyog ua ntej xaiv chav.
• Cov khoom tsis them nqi xws li qee yam khoom siv, hnab looj tes, kev tswj hwm thiab kev sau npe feem ntau yog tus neeg mob them.
• Kev txhim kho uas tsav los ntawm pathology: yog tias histology tom qab ntawd yuav tsum tau ua kom tiav thyroidectomy lossis radioiodine, qhov ntawd yog qhov kev thov tshiab; nug txog qhov nyiaj tshuav pov hwm thiab lwm yam kev txwv.
• Cov phiaj xwm ntawm tsoomfwv thiab cov tswv ntiav haujlwm xws li CGHS, ECHS, cov phiaj xwm hauv xeev, PMJAY thiab cov koom haum lag luam muaj lawv cov ntaub ntawv xa mus thiab cov nqi them. Seb puas muaj ib qho phiaj xwm tshwj xeeb tam sim no nyob hauv tsev kho mob no, thiab xav tau cov ntaub ntawv dab tsi, yuav tsum tau lees paub nrog lub rooj pov hwm thaum lub sijhawm teem caij.
• Txoj kev them rov qab: yog koj them koj tus kheej, khaws cov ntaub ntawv qhia txog kev tawm tsev kho mob, tag nrho cov nqi kho mob qub, cov ntawv tshawb nrhiav, daim ntawv qhia txog histopathology thiab cov khoom cog rau hauv koj lub cev lossis